SavedAdd your journal

Journals / Medicine Science / 2017 / Cilt: 6 - Sayı: 3

Risk factors for mortality in delayed intertrochanteric fractures

Haluk ÇABUK
Cem Dinçay BÜYÜKKURT
Ali Çağrı TEKİN
Süleyman Semih DEDEOĞLU
Yunus İMREN
Yasin GULER
HAKAN GÜRBÜZ
Pages
521–525
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Whatever the timing of operation, gaining the mobility as soon as possible should be the goal of our treatment

📌 3 Key Takeaways

🎯
Objective & Hypothesis:We aimed to figured out the risk factors of one year mortality in intertrochanteric hip fractures with delayed operation more than 72 hours. 96 out of 226 patients with proximal femoral fracture included in this study.
📊
Key Findings & Data:Mobility functions before fracture and after 3 months of operation are assessed by mobility part of Barthel index.
💡
Conclusion & Impact:Whatever the timing of operation, gaining the mobility as soon as possible should be the goal of our treatment
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

We aimed to figured out the risk factors of one year mortality in intertrochanteric hip fractures with delayed operation more than 72 hours. 96 out of 226 patients with proximal femoral fracture included in this study. Hemogram, blood urine nitrogen (BUN), creatinine, sodium, potassium and serum albumin levels are recorded from their blood test at administration of hospital. Time to theatre and postoperative needs for intensive care are recorded. Mobility functions before fracture and after 3 months of operation are assessed by mobility part of Barthel index. Multiple logistic regression analysis was performed to estimate the simultaneous effects of important covariates. In univariate model, age(p=0.0027), ASA(p=0.00), loss of mobility(p=0.00), bone union time(p=0.001), blood transfusion(p=0.026), albumin(p=0.004) and mobility after operation (p=0.001) were associated with mortality but in the final model for multivariate regression analysis loss of mobility level (p=0.001) and bone union time (p=0.02) were found to be independent risk factors of mortality. In postoperative period mobilization is the most important variable that we could changed in intertrochanteric fractures to decrease mortality. Whatever the timing of operation, gaining the mobility as soon as possible should be the goal of our treatment

🔖

Cite This Article

ÇABUK, H., BÜYÜKKURT, C. D., TEKİN, A. Ç., DEDEOĞLU, S. S., İMREN, Y., GULER, Y., GÜRBÜZ, H. (2017). Risk factors for mortality in delayed intertrochanteric fractures. Medicine Science, Cilt: 6 - Sayı: 3, 521–525. https://ajindex.com/articles/277457

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Beaupre LA, Jones CA, Saunders LD, Johnston DW, Buckingham J, Majumdar SR. Best practices for elderly hip fracture patients. A systematic overview of the evidence. J Gen Intern Med. 2005;20(11):1019-25
  2. Wilkins K. Health care consequences of falls for seniors. Health Rep. 1999;10(4):47-55
  3. Karres J, Heesakkers NA, Ultee JM, Vrouenraets BC. Predicting 30- day mortality following hip fracture surgery: evaluation of six risk prediction models. Injury. 2015;46(2):371-7
  4. Shiga T, Wajima Z, Ohe Y. Is operative delay associated with increased mortality of hip fracture patients? Systematic review, metaanalysis, and meta-regression. Can J Anaesth. 2008;55(3):146-54
  5. Simunovic N, Devereaux PJ, Sprague S, Guyatt GH, Schemitsch E, Debeer J, Bhandari M. Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis. CMAJ. 2010;182(15):1609-16
  6. Hu F, Jiang C, Shen J, Tang P, Wang Y. Preoperative predictors for mortality following hip fracture surgery: a systematic review and meta-analysis. Injury. 2012;43(6):676-85
  7. Owens WD, Felts JA, Spitznagel EL, Jr. ASA physical status classifications: a study of consistency of ratings. Anesthesiology. 1978;49(4):239-43
  8. Mahoney FI, Barthel D. Functional evaluation: The Barthel Index. Md Med J. 1965;14:56-61
  9. Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int. 2006;17(12):1726-33
  10. Nguyen ND, Eisman JA, Center JR, Nguyen TV. Risk factors for fracture in nonosteoporotic men and women. J Clin Endocrinol Metab. 2007;92(3):955-62
  11. Aharonoff GB, Koval KJ, Skovron ML, Zuckerman JD. Hip fractures in the elderly: predictors of one year mortality. J Orthop Trauma. 1997;11(3):162-5
  12. Yonezawa T, Yamazaki K, Atsumi T, Obara S. Influence of the timing of surgery on mortality and activity of hip fracture in elderly patients. J Orthop Sci. 2009;14(5):566-73
  13. Hommel A, Ulander K, Bjorkelund KB, Norrman PO, Wingstrand H, Thorngren KG. Influence of optimised treatment of people with hip fracture on time to operation, length of hospital stay, reoperations and mortality within 1 year. Injury. 2008;39(10):1164-74
  14. Lefaivre KA, Macadam SA, Davidson DJ, Gandhi R, Chan H, Broekhuyse HM. Length of stay, mortality, morbidity and delay to surgery in hip fractures. J Bone Joint Surg Br. 2009;91(7):922-7
  15. Smektala R, Endres HG, Dasch B, Maier C, Trampisch HJ, Bonnaire F, Pientka L. The